The holder whose full name is Masty, Amanda Marie,come from Portage IN,hold the Registered Nurse license(NO.28175583A) which status is Expired.
| Name | Masty, Amanda Marie |
|---|---|
| License Number | 28175583A |
| License Type | Registered Nurse |
| License Status | Expired |
| City | Portage |
| State | IN |